Compliance Manager Claims/Quality Assurance: Duties and Responsibilities

• Manage daily operations of the claims/quality/compliance department.
• Ensure all claims are reviewed, processed, and settled in a timely manner.
• Establish and maintain effective relationships with customers, excavators, regulators, and other stakeholders.
• Monitor and evaluate claims activity to ensure accuracy and compliance with customer contracts.
• Resolve complex claims, issues, disputes, settlements, and legal cases.
• Design, train and mentor claim staff as needed.
• Provide periodic reports to senior management, regulatory bodies, AP, AR, and Customers.
• Analyze internal business systems to ensure compliance with industry regulations and ethical standards.
• Create, modify, update and implement the company’s policies.
• Develop risk reduction strategies relative to damage prevention and regulatory concerns.
• Develop and enforce quality assurance plans, processes and procedures.
• Design control systems to address cases of violation of internal business policies.
• Liaise with other departmental heads to ensure that all business operations are in line with business policies.
• Advise the top management on business operations relating to damage prevention endeavors, regulatory risks and any other policy development.

Compliance Manager Claims/Quality Assurance: Requirements and Qualifications

• Bachelor’s degree in a related field preferred
• 5+ years of experience in claims management preferred
• Knowledge of insurance/claims/one call regulations and industry best practices
• Regulatory experience equivalent to 2+ years preferred
• Excellent written and verbal communication skills
• Able to work independently and manage multiple tasks
• Proficient in Microsoft Office Suite
• Some travel will be required